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https://www.readbyqxmd.com/read/29073769/retrospective-cost-analysis-of-a-single-center-reusable-flexible-ureterorenoscopy-program-a-comparative-cost-simulation-of-disposable-furs-as-an-alternative
#1
Tomasz Ozimek, Michael H Schneider, Marie C Hupe, Judith R Wiessmeyer, Jens Cordes, Piotr L Chlosta, Axel S Merseburger, Mario Wolfgang Kramer
OBJECTIVE: The increasing number of flexible ureterorenoscopy (fURS) procedures, the fragility of devices, and their growing maintenance and repair costs represent a substantial burden for urologic departments. Disposable single-use fURS devices offer many advantages over reusable fURS. Among them, the LithoVue™ model shows the best clinical utility. In our study, we assessed the economic aspects of reusable fURS application compared with the potential costs and benefits of single-use fURS (LithoVue™)...
November 17, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29071152/a-novel-percutaneous-nephrolithotomy-pcnl-set-the-economical-one-shot-pcnl-set-ecoset
#2
Necmettin Penbegul, Onur Dede, Mansur Daggulli, Namik Kemal Hatipoglu, Yasar Bozkurt
OBJECTIVES: To suggest a novel disposable percutaneous nephrolithotomy (PCNL) set that we named the 'Economical One-shot PCNL Set' (Ecoset), which consists of a single 30-F dilator, 30-F sheath, and 8-F polyurethane dilator, as use of a 'one-shot' dilatation technique during PCNL is becoming widespread. PATIENT AND METHODS: The medical records of 42 patients with kidney stones who had undergone 'one-shot' PCNL from February 2014 to June 2016 were retrospectively reviewed and analysed...
September 2017: Arab Journal of Urology
https://www.readbyqxmd.com/read/28981230/-diagnosis-and-treatment-of-nephrolithiasis-and-prevention-of-recurrences
#3
I Simon, F Legrand, J M Des Grottes, F Cotton, J Nortier, T Roumeguère
despite fluctuations, the prevalence of nephrolithiasis has significantly increased during the last decades in industrialized nations worldwide (1 to 15 %), which has a significant impact on the cost of healthcare. This increased prevalence is mainly explained by diet modifications. Environmental, metabolic and genetic factors may also influence the formation of kidney stones. As a consequence, the medical management of this disease is preferentially multidisciplinary and involves urologists, nephrologists, radiologists, biologists and dietitians...
2017: Revue Médicale de Bruxelles
https://www.readbyqxmd.com/read/28721285/ureteroscopy-for-stone-disease-expanding-roles-in-the-modern-era
#4
REVIEW
Adrian Ho, Piyush Sarmah, Ewa Bres-Niewada, Bhaskar K Somani
INTRODUCTION: The prevalence of urolithiasis is increasing worldwide and is causing significant morbidity and cost to the healthcare systems. While ureteroscopy (URS) has been established as a treatment option, our review highlights the expanding role of URS for the management of more complex stones and patients in the modern era. MATERIAL AND METHODS: Ureteroscopy has shown to have good outcomes with stone free rates (SFR) comparable to other treatment modalities...
June 30, 2017: Central European Journal of Urology
https://www.readbyqxmd.com/read/28720366/the-evolving-role-of-retrograde-intrarenal-surgery-in-the-treatment-of-urolithiasis
#5
REVIEW
Francesco Sanguedolce, Giorgio Bozzini, Ben Chew, Panagiotis Kallidonis, Jean de la Rosette
CONTEXT: Retrograde intrarenal surgery has gained substantial popularity worldwide thanks to continuous improvements in technology and techniques, and is now considered one of the first-line treatment options for active removal of renal stones. OBJECTIVE: To provide a comprehensive synthesis of the main evidences in literature on the current management of kidney stones by means of retrograde intrarenal surgery (RIRS). EVIDENCE ACQUISITION: A review of literature has been conducted using search string "retrograde intrarenal surgery OR flexible ureteroscop* OR ureterorenoscop*", without any language restriction; PubMed, Embase, and Scopus databases were searched in November 2016...
February 2017: European Urology Focus
https://www.readbyqxmd.com/read/28720352/medical-measures-for-secondary-prevention-of-urolithiasis
#6
Khashayar Sakhaee
The global prevalence of nephrolithiasis has progressively increased over the past several decades. Kidney stone disease without treatment is a recurrent illness that represents a major health burden across the globe with associated economic costs.
February 2017: European Urology Focus
https://www.readbyqxmd.com/read/28322584/editorial-comment-for-jones-et-al
#7
Sara L Best
No abstract text is available yet for this article.
April 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28161351/trends-in-imaging-use-for-the-evaluation-and-followup-of-kidney-stone-disease-a-single-center-experience
#8
Kevan M Sternberg, Benjamin Littenberg
PURPOSE: Recent reports support renal ultrasound as the initial imaging study to evaluate patients with suspected renal colic. However, urologists often advocate for computerized tomography to better define stone size and location, especially before proceeding with endourological intervention. One concern with using ultrasound as initial imaging is that computerized tomography may be required later, obviating the reduction in costs and radiation gained by using ultrasound. MATERIALS AND METHODS: We retrospectively reviewed the electronic health records of 10,680 episodes of stone disease in a total of 7,659 patients who presented to the emergency department or walk-in clinic with a chief complaint or visit diagnosis of urolithiasis from 2009 to 2015 at a single institution...
February 1, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28108799/the-economics-of-stone-disease
#9
Noah E Canvasser, Peter Alken, Michael Lipkin, Stephen Y Nakada, Hiren S Sodha, Abdulkadir Tepeler, Yair Lotan
The rising prevalence of kidney stone disease is associated with significant costs to healthcare systems worldwide. This is in part due to direct procedural and medical management costs, as well as indirect costs to health systems, patients, and families. A number of manuscripts evaulating the economics of stone disease have been published since the 2008s International Consultation on Stone Disease. These highlight costs associated with stone disease, including acute management, surgical management, and medical management...
September 2017: World Journal of Urology
https://www.readbyqxmd.com/read/28046001/the-diagnosis-and-management-of-patients-with-renal-colic-across-a-sample-of-us-hospitals-high-ct-utilization-despite-low-rates-of-admission-and-inpatient-urologic-intervention
#10
MULTICENTER STUDY
Elizabeth M Schoenfeld, Penelope S Pekow, Meng-Shiou Shieh, Charles D Scales, Tara Lagu, Peter K Lindenauer
OBJECTIVES: Symptomatic ureterolithiasis (renal colic) is a common Emergency Department (ED) complaint. Variation in practice surrounding the diagnosis and management of suspected renal colic could have substantial implications for both quality and cost of care as well as patient radiation burden. Previous literature has suggested that CT scanning has increased with no improvements in outcome, owing at least partially to the spontaneous passage of kidney stones in the majority of patients...
2017: PloS One
https://www.readbyqxmd.com/read/27931114/factors-associated-with-compliance-in-submitting-24-hour-urine-collections-in-an-underserved-community
#11
Eric M Ghiraldi, Madhumitha Reddy, Tianyu Li, Andrew C Lawler, Justin I Friedlander
PURPOSE: Patients living in underserved areas do regularly express an interest in stone prevention; however, factors limiting participation, aside from obvious cost considerations, are largely unknown. To better understand factors associated with compliance with submitting 24-hour urine collections, we reviewed our patient experience at the kidney stone clinic at a hospital that provides care for an underserved urban community. MATERIALS AND METHODS: A retrospective chart review of patients treated for kidney and/or ureteral stones between August 2014 and May 2016 was performed...
April 2017: Journal of Endourology
https://www.readbyqxmd.com/read/27921141/kidney-stones-diseases-and-glycaemic-statuses-focus-on-the-latest-clinical-evidences
#12
REVIEW
Leonardo Spatola, Claudio Angelini, Salvatore Badalamenti, Silvio Maringhini, Giovanni Gambaro
Diabetes and obesity are already recognized as potential risk factors for nephrolithiasis, especially for uric acid stones. Insulin resistance and hyperinsulinemia actively contribute to impaired ability to excrete an acid load and altered ammonium production, leading to a lower urinary pH compared to non-diabetic controls. All these electrolytic disorders play an important role in stone formation and aggregation, especially in uric acid stones. There are still missing points in scientific evidence if the increased risk in stone formation is already existing even in the prediabetic statuses (isolated impaired glucose tolerance, isolated impaired fasting glucose, and associated impaired glucose tolerance/impaired fasting glucose) as well as it is worth to consider the same level of risk...
December 5, 2016: Urolithiasis
https://www.readbyqxmd.com/read/27766194/pediatric-kidney-stones-avoidance-and-treatment
#13
David I Chu, Gregory E Tasian, Lawrence Copelovitch
Pediatric stone disease is increasing in incidence and healthcare costs. With more years at-risk for stone recurrence during their lifetimes, children with nephrolithiasis constitute a high-risk patient population that requires focused intervention through both medical and surgical means. Through high-quality future studies to compare methods of stone prevention and treatment, the burden of stone disease on the youngest members of society may be ameliorated.
June 2016: Current Treatment Options in Pediatrics
https://www.readbyqxmd.com/read/27759736/the-future-of-ureteroscopy
#14
REVIEW
Ben H Chew, Dirk Lange
Open ureterolithotomy and pyelolithotomy used to be first line therapy for treating kidney and ureteral stones. With the advent of shockwave lithotripsy, open stone surgery became less prevalent, but once ureteroscopy became more prevalent, open stone surgery became all but extinct. Advances in smaller, more flexible endoscopes and improvements in intracorporeal lithotripters, ureteroscopy has become a mainstay of therapy for kidney stones. The holmium:yttrium-aluminium-garnet laser can be utilized through flexible instruments and fragments any stone no matter what it is composed of...
December 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/27729994/optimal-management-of-lower-pole-stones-the-direction-of-future-travel
#15
REVIEW
Sacha L Moore, Ewa Bres-Niewada, Paul Cook, Hannah Wells, Bhaskar K Somani
INTRODUCTION: Kidney stone disease is increasing worldwide with its most common location being in the lower pole. A clear strategy for effective management of these stones is essential in the light of ever increasing choice, effectiveness, and complications of different treatment options. MATERIAL AND METHODS: This review identifies the latest and clinically relevant publications focused on optimal management of lower pole stones. RESULTS: We present an up-to-date European Association of Urology and American Urological Association algorithm for lower pole stones, risks and benefits of different treatments, and changing landscape with the miniaturization of percutaneous stone treatments...
2016: Central European Journal of Urology
https://www.readbyqxmd.com/read/27622283/outcome-analysis-of-holmium-laser-and-pneumatic-lithotripsy-in-the-endoscopic-management-of-lower-ureteric-calculus-in-pediatric-patients-a-prospective-study
#16
Ankur Jhanwar, Ankur Bansal, Satyanarayan Sankhwar, Manoj Kumar, Gautam Kanodia, Gaurav Prakash
OBJECTIVE: To analyse outcomes of holmium laser and pneumatic lithotripsy in treatment of lower ureteric calculus in pediatric patients. MATERIALS AND METHODS: Prospective study conducted between August 2013 and July 2015. Inclusion criteria were lower ureteric calculus with stone size ≤1.5cms. Exclusion criteria were other than lower ureteric calculus, stone size ≥1.5cms, congenital renal anomalies, previous ureteral stone surgery. Patients were divided into two groups...
November 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27617550/-treatment-of-pediatric-lithiasis-in-the-lithotripsy-and-endourology-unit-of-hospital-la-luz-commented-retrospective-of-our-case-series
#17
R Orozco Fariñas, J I Iglesias Prieto, P Pellejero Pérez, J Massarrah Halabi, J M Mancebo, E Pérez-Castro Ellendt
OBJECTIVE: The aim of the present article is to summarize the results we obtained treating children with urolithiasis over the last 30 years and to perform an analysis on the basis of the these results and relevant details according to national and international experience. METHODS: Retrospective and descriptive statistical analysis of the 30 year experience in our clinics. The study was performed with a sample size of 178 children treated with urolithiasis that underwent 221 procedures...
September 2016: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/27593393/a-nurse-led-intervention-improves-detection-and-management-of-aki-in-malawi
#18
Christopher J Kirwan, Kelly Wright, Peter Banda, Aylwin Chick, Mwayi Mtekateka, Enos Banda, Zuze Kawale, Rhys Evans, Hamish Dobbie, Gavin Dreyer
BACKGROUND: Acute kidney injury is common and has significant impact on mortality and morbidity. There is a global drive to improve the lack of knowledge and understanding surrounding the recognition, diagnosis and management of patients with AKI in resource poor healthcare systems. OBJECTIVES: We propose a nurse-led education programme to medical and nursing staff of the Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi, will improve the overall care and understanding of patients with AKI that will still be effective 3 months later...
December 2016: Journal of Renal Care
https://www.readbyqxmd.com/read/27579436/impressive-performance-new-disposable-digital-ureteroscope-allows-for-extreme-lower-pole-access-and-use-of-365%C3%A2-%C3%AE-m-holmium-laser-fiber
#19
Raymond J Leveillee, Emily Fell Kelly
BACKGROUND: Since the development of the first flexible ureteroscope, in 1964, technological advances in image quality, flexibility, and deflection have led to the development of the first single-use digital flexible ureteroscope, LithoVue™ (Boston Scientific, Marlborough, MA). With respect to reusable fiber-optic and now digital ureteroscopes, there is an initial capital cost of several thousand dollars (USD) as well as, controversy regarding durability, the cost of repairs and the burdensome reprocessing steps of ureteroscopy...
2016: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/27578040/an-overview-of-kidney-stone-imaging-techniques
#20
REVIEW
Wayne Brisbane, Michael R Bailey, Mathew D Sorensen
Kidney stone imaging is an important diagnostic tool and initial step in deciding which therapeutic options to use for the management of kidney stones. Guidelines provided by the American College of Radiology, American Urological Association, and European Association of Urology differ regarding the optimal initial imaging modality to use to evaluate patients with suspected obstructive nephrolithiasis. Noncontrast CT of the abdomen and pelvis consistently provides the most accurate diagnosis but also exposes patients to ionizing radiation...
November 2016: Nature Reviews. Urology
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